Active NPI
First Mercy Homes LLC
- Adult Care Home Facility
- Apple Valley, MN
National Provider Identifier
1043844384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- FIRST MERCY HOMES LLC
- Practice address
- 15723 Fair Hill Way
Apple Valley, MN 55124-5256 - Phone
- (206) 915-3015
- NPI assigned
- Feb 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohomed O Yusuf
- Title
- Manager
- Phone
- (206) 915-3015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
15723 Fair Hill Way
Apple Valley, MN 55124-5256
Mailing address
7800 Metro Pkwy Ste 110
Bloomington, MN 55425-1528
Phone (206) 915-3015
Other names 1
- First Mercy Homes LLC
National Provider Directory
National Provider DirectoryLocations
7800 Metro Pkwy
Ste 110
Bloomington, MN 55425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582588800000",
"number": "1043844384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 METRO PKWY STE 110",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251528",
"telephone_number": "206-915-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15723 FAIR HILL WAY",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551245256",
"telephone_number": "206-915-3015"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST MERCY HOMES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-25",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A",
"authorized_official_last_name": "YUSUF",
"authorized_official_first_name": "MOHOMED",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "206-915-3015"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "First Mercy Homes LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Apple Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.